Desires of patients receiving acute care in the community-based integrated care system

<p>Objective : This study aimed to identify information on care of patients receiving acute care for life in community from the patients. perspective and to obtain suggestions for “Nursing Care for Patient Goals”（NCPG）.</p><p>Method : The subjects were patients receiving acute care and aged 20 years and above. They were given self-administered questionnaires. SurveyⅠ（2017）consisted of a questionnaire that was based on previously collected qualitative data and comprised 23 Likert-scale questions and free descriptive questions on the reasons for selecting the most important item. Survey Ⅱ（2018） consisted of questionnaire that was comprised of three Likert-scale questions on goals and a free descriptive question on care for the achievement of goals.</p><p>Statistical analysis included descriptive statistics, factor analysis, and t-test. Data from free-text descriptions were analyzed using qualitative descriptive analysis.</p><p>Results : SurveyⅠ: data from 448 valid responses were subjected to factor analysis to determine the factor structure. The following factors were identi.ed from the patients. perspectives: 1）social role and environment, 2）understanding/acceptance and psychological state, 3）physical condition and life, and4）hope and decision-making for life. In addition, a qualitative and inductive approach was employed to analyze participants. descriptive responses about the reason for selecting the most important item. The characteristic description of why participants selected “hope and decision-making of life” was “I cannot live without hope.” SurveyⅡ : data from 416 valid responses were analyzed. The majority of participants felt it was important to share their goals with their healthcare professionals. A qualitative and inductive approach was employed to analyze the participants. descriptive responses to care for goals achievement. The care desired by participants was categorized as “being with”, “professional care”, and “self-care support”.</p><p>Conclusion : The factors that patients wanted nurses to know were consistent with the components of “NCPG.” The care that patients desire to achieve their goals was clari.ed.</p>